Organization Active NPI

Tammy Roesler MD PC

Doing business as Pinecone Pediatrics

  • Pediatrics Physician
  • Reno, NV
National Provider Identifier
1437528825
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TAMMY ROESLER MD PC
Doing business as
Pinecone Pediatrics
Practice address
3725 Lakeside Dr
Reno, NV 89509-5239
Phone
(775) 737-4707
NPI assigned
Sep 16, 2015
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tammera McHenry
Title
Office Manager
Phone
(775) 737-4707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3725 Lakeside Dr
Reno, NV 89509-5239

Mailing address

3725 Lakeside Dr
Reno, NV 89509-5239
Phone (775) 737-4707

Other names 1

  • Pinecone Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2063248Pinecone Pediatrics3725 Lakeside Dr, Reno, NV 89509Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

3725 Lakeside Dr
Reno, NV 89509
Phone (775) 737-4707

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1437528825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095239",
            "telephone_number": "775-737-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 LAKESIDE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095239",
            "telephone_number": "775-737-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY ROESLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MCHENRY",
        "authorized_official_first_name": "TAMMERA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "775-737-4707"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinecone Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinecone Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.